Apendicectomía laparoscópica versus abierta: comparables...
Palabras clave:
apendicitis, apendicectomía, laparotomía, laparoscopíaResumen
Se presenta un estudio restrospectivo observacional de dos cohortes obtenidas en cuatro años, con un total de 215 pacientes, 92 para apendicectomía laparoscópica y 123 para apendicectomía convencional, comparando variables como estancia hospitalaria, tiempo quirúrgico, complicaciones y dolor posoperatorio, entre otras. Se halló mayor frecuencia de complicaciones en la apendicectomía tradicional y mayor incidencia de infección del sitio operatorio (p<0,05).
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Referencias bibliográficas
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https://doi.org/10.1097/SLA.0b013e31818b770c
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https://doi.org/10.1097/SLE.0b013e318058a117
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https://doi.org/10.1089/lap.2009.0196
11. Rehman H, Ahmed I. Technical approaches to single port/ incision laparoscopic appendicectomy: A literature review. Ann R Coll Surg Engl. 2011;93:508-13.
https://doi.org/10.1308/147870811X13137608455091
12. Sleem R, Fisher S, Gestring M, Cheng J, Sangosanya A, Stassen N, et al. Perforated appendicitis: Is early laparoscopic appendectomy appropriate? Surgery. 2009;146:731-7.
https://doi.org/10.1016/j.surg.2009.06.053
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https://doi.org/10.1089/lap.2009.0167
14. Wei HB, Huang JL, Zheng ZH, Wei B, Zheng F, Qiu WS, et al. Laparoscopic versus open appendectomy: A prospective randomized comparison. Surg Endosc. 2010;24:266-9..
https://doi.org/10.1007/s00464-009-0563-7
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https://doi.org/10.4103/1319-3767.58764
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https://doi.org/10.1002/14651858.CD001546.pub3
17. Moazzez A, Mason RJ, Katkhouda N. Laparoscopic appendec- tomy: New concepts. World J Surg. 2011;35:1515-8.
https://doi.org/10.1007/s00268-011-1032-8
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https://doi.org/10.1097/SLE.0b013e3182006f40
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https://doi.org/10.1007/s00268-010-0669-z
21. Gil F, Morales D, Bernal JM, Llorca J, Marton P,Naranjo A. Complicated acute apendicitis. Open versus laparoscopic surgery. Cir Esp. 2008;83:309-12.
https://doi.org/10.1016/S0009-739X(08)70582-7
22. Spaventa A, Decanini C, Becerril G, González S, Menéndez A, Gaertner W, et al. Laparoscopic appendectomy. Present situation. ABC medical center experience during the last five years. Rev Gastroenterol Mex. 2006;71:31-8.
23. Manrique D, Aquino H, Garro E. Apendicectomía laparoscópica: modelo de programa ambulatorio. Rev Colomb Cir. 2008;23:74-84.
24. Garg CP , V aidya BB, Chengalath MM. Efficacy of laparoscopy in complicated appendicitis. Int J Surg. 2009;7:250-2.
https://doi.org/10.1016/j.ijsu.2009.04.007
25. Andersson R, Hugander A, Thulin A, Nystrom PO, Olaison G. Indications for operation in suspected appendicitis and incidence of perforation. BMJ. 1994;308:107-10.
https://doi.org/10.1136/bmj.308.6921.107
26. Prado E, García-Alcalá H, Domínguez-Cocco A, Justo-Janeiro JM. Comparative study of laparoscopic appendectomy Vs. open appendectomy. Rev Gastroenterol Mex. 1997;62:254-9.
27. Rivera EM.Comparative evaluation of the surgical treatment of acute appendicitis: Open appendicetomy versus laparoscopic appendicectomy in the National Hospital Carlos A. Seguín E. Rev Gastroenterol Perú. 2002;22:287-96.
28. Long KH, Bannon MP, Zietlow SP, Helgeson ER, Harmsen WS, Smith CD, et al. A prospective randomized comparison of laparoscopic appendectomy with open appendectomy: Clinical and economic analyses. Surgery. 2001;129:390-400.
https://doi.org/10.1016/S0039-6060(01)15621-7
29. Addiss D, Shaffer N, Fowler B, Tauxe R. The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol. 1990;132:910-25.
https://doi.org/10.1093/oxfordjournals.aje.a115734
30. Merhoff AM, Merhoff GC, Franklin ME. Laparoscopic versus open appendectomy. Am J Surg. 2000;179:375-8.
https://doi.org/10.1016/S0002-9610(00)00373-1
31. Katkhouda N, Mason RJ, Towfigh S, Gevorgyan A, Essani R. Laparoscopic versus open appendectomy: A prospective randomized double-blind study. Ann Surg. 2005;242:439-48.
https://doi.org/10.1097/01.sla.0000179648.75373.2f
32. Pedersen AG, Petersen OB, Wara P, Ronning H, Qvist N, Laurberg S. Randomized clinical trial of laparoscopic versus open appendicectomy. Br J Surg. 2001;88:200-5.
https://doi.org/10.1046/j.1365-2168.2001.01652.x
33. Iribarren C, Muñoz CE, Medina JP, Pirchi ED. Apendicec- tomías negativas: ¿aumenta su incidencia con la cirugía lapa- roscópica?. Rev Argent Cir. 2008;94:169-75.
34. Ortega AE, Hunter JG, Peters JH, Swanstrom LL, Schirmer B. A prospective, randomized comparison of laparoscopic appendec- tomy with open appendectomy. Am J Surg. 1995;169:208-12.
https://doi.org/10.1016/S0002-9610(99)80138-X
35. Minne L, Varner D, Burnell A, Ratzer E, Clark J, Haun W. Laparoscopic Vs. open appendectomy. Prospective randomized study of outcomes. Arch Surg. 1997;132:708-11.
https://doi.org/10.1001/archsurg.1997.01430310022003
36. Macarulla E, Vallet J, Abad JM, Hussein H, Fernández E, Nieto B. Laparoscopic versus open appendectomy: A prospective randomized trial. Surg Laparosc Endosc. 1997;7:335-9.
https://doi.org/10.1097/00019509-199708000-00016
37. Ozmen MM, Zulfikaroglu B, Tanik A, Kale IT. Laparoscopic versus open appendectomy: Prospective randomized trial. Surg Laparosc Endosc Percutan Tech. 1999;9:187-9.
https://doi.org/10.1097/00129689-199906000-00006
38. Reiertsen O, Larsen S, Trondsen E, Edwin B, Faerden AE, Rosseland AR. Randomized control trial with sequential design of laparoscopic versus conventional appendicectomy. Br J Surg. 1997;84:842-7.
https://doi.org/10.1002/bjs.1800840632
39. Hellberg A, Rudberg C, Kullman E, Enochsson L, Fenyö G, Graffner H, et al. Prospective randomized multicentre study of laparoscopic versus open appendicectomy. Br J Surg. 1999;86:48-53.
https://doi.org/10.1046/j.1365-2168.1999.00971.x
40. Heikkinen TJ, Haukipuro K, Hulkko A. Cost-effective appen- dectomy. Open or laparoscopic? A prospective randomized study. Surg Endosc. 1998;12:1204-8.
https://doi.org/10.1007/s004649900821
41. Klingler A, Henle KP, Beller S, Rechner J, Zerz A, Wetscher G, et al. Laparoscopic appendectomy does not change the in- cidence of postoperative infectious complications. Am J Surg. 1998;175:232-5.
https://doi.org/10.1016/S0002-9610(97)00286-9
42. Piskun G, Kozik D, Rajpal S, Shaftan G, Fogler R. Compa- rison of laparoscopic, open, and converted appendectomy for perforated appendicitis. Surg Endosc. 2001;15:660-2.
https://doi.org/10.1007/s004640020072
43. So JBY, Chiong EC, Chiong E, Cheah W-K, Lomanto D, Goh P, et al. Laparoscopic appendectomy for perforated appendicitis. World J Surg. 2002;26:1485-8.
https://doi.org/10.1007/s00268-002-6457-7
44. Margenthaler JA, Longo WE, Virgo KS, Johnson FE, Oprian CA, Henderson WG, et al. Risk factors for adverse outcomes after the surgical treatment of appendicitis in adults. Ann Surg. 2003;238:59-66.
https://doi.org/10.1097/01.SLA.0000074961.50020.f8
45. Morales CH. ¿Apendicectomia abierta o laparoscópica? Rev Colomb Cir. 2004;19:17-22.
46. Markar SR, Venkat-Raman V, Ho A, Karthikesalingam A, Kinross J, Evans J, et al. Laparoscopic versus open appendi- cectomy in obese patients. Int J Surg. 2011;9:451-5.
https://doi.org/10.1016/j.ijsu.2011.06.005
2. Brunicardi FC, Andersen DK, Billiar DR, Dunn DL, Hunter JG, Matthews JB, et al. Schwartz's principles of surgery. 9th edition. Nueva York: Ed. McGraw-Hill; 2009. p.1119-1137
3. Sanabria A, Domínguez LC, Bermúdez C, Serna A. Evalua- ción de escalas diagnósticas en pacientes con dolor abdominal sugestivo de apendicitis. Biomédica. 2007;27:419-28.
https://doi.org/10.7705/biomedica.v27i3.204
4. Sanabria A, Henao C, Bonilla R, Castrillón C, Navarro P, Díaz A. Diagnóstico de apendicitis en un centro de referencia. Un enfoque basado en la evidencia. Rev Colomb Cir. 2000;15:147-54.
5. Guller U, Hervey S, Purves H, Muhlbaier LH, Peterson ED, Eubanks S, et al. Laparoscopic versus open appendectomy. Outcomes comparison based on a large administrative database. Ann Surg. 2004;239:43-52.
https://doi.org/10.1097/01.sla.0000103071.35986.c1
6. Olmi S, Magnone S, Bertolini A, Croce E. Laparoscopic Vs. open appendectomy in acute appendicitis. Surg Endosc. 2005;19:1193-5.
https://doi.org/10.1007/s00464-004-2165-8
7. Faiz O, Clark J, Brown T, Bottle A, Antoniou A, Farrands P, et al. Traditional and laparoscopic appendectomy in adults: Outcomes in English NHS hospitals between 1996 and 2006. Ann Surg. 2008;248:800-6.
https://doi.org/10.1097/SLA.0b013e31818b770c
8. Fischer J. Mastery of surgery. 5th edition. Philadelphia: Lippin- cott Williams & Wilkins; 2007. p. 129-30.
9. Bennett J, Boddy A, Rhodes M. Choice of approach for ap- pendicectomy: A meta-analysis of open versus laparoscopic appendicectomy surgical laparoscopy, endoscopy & percuta- neous techniques. 2007;17:245-55.
https://doi.org/10.1097/SLE.0b013e318058a117
10. Park HC, Yang DH, Lee BH. The laparoscopic approach for perforated appendicitis, including cases complicated by abscess formation. Laparoendosc Adv Surg Tech A. 2009;19:727-30.
https://doi.org/10.1089/lap.2009.0196
11. Rehman H, Ahmed I. Technical approaches to single port/ incision laparoscopic appendicectomy: A literature review. Ann R Coll Surg Engl. 2011;93:508-13.
https://doi.org/10.1308/147870811X13137608455091
12. Sleem R, Fisher S, Gestring M, Cheng J, Sangosanya A, Stassen N, et al. Perforated appendicitis: Is early laparoscopic appendectomy appropriate? Surgery. 2009;146:731-7.
https://doi.org/10.1016/j.surg.2009.06.053
13. Malagón AM, Arteaga-González I, Rodríguez-Ballester L. Acute appendicitis: A prospective, comparative trial. J Lapa- roendosc Adv Surg Tech A. 2009;19:721-5.
https://doi.org/10.1089/lap.2009.0167
14. Wei HB, Huang JL, Zheng ZH, Wei B, Zheng F, Qiu WS, et al. Laparoscopic versus open appendectomy: A prospective randomized comparison. Surg Endosc. 2010;24:266-9..
https://doi.org/10.1007/s00464-009-0563-7
15. Ali R, Khan MR, Pishori T, Tayeb M. Laparoscopic appen- dectomy for acute appendicitis: Is this a feasible option for developing countries? Saudi J Gastroenterol. 2010;16:25-9.
https://doi.org/10.4103/1319-3767.58764
16. Sauerland S, Jaschinski T, Neugebauer EAM. Laparoscopic versus open surgery for suspected appendicitis (review). Co- chrane Library. 2010:10.
https://doi.org/10.1002/14651858.CD001546.pub3
17. Moazzez A, Mason RJ, Katkhouda N. Laparoscopic appendec- tomy: New concepts. World J Surg. 2011;35:1515-8.
https://doi.org/10.1007/s00268-011-1032-8
18. Liu Z, Zhang P, Ma Y, Chen H, Zhou Y, Zhang M, et al. Laparoscopy or not: A meta-analysis of the surgical effects of laparoscopic versus open appendicectomy. Surg Laparosc Endosc Percutan Tech. 2010;20:362-70.
https://doi.org/10.1097/SLE.0b013e3182006f40
19. Li X, Zhang J, Sang L, Zhang W, Chu Z, Li X, et al. Laparo- scopic versus conventional appendectomy --a meta-analysis of randomized controlled trials. BMC Gastroenterol. 2010;3:129.
https://doi.org/10.1186/1471-230X-10-129
20. Markides G, Subar D, Riyad K. Laparoscopic versus open ap- pendectomy in adults with complicated appendicitis: Systematic review and meta-analysis. World J Surg. 2010;34:2026-40.
https://doi.org/10.1007/s00268-010-0669-z
21. Gil F, Morales D, Bernal JM, Llorca J, Marton P,Naranjo A. Complicated acute apendicitis. Open versus laparoscopic surgery. Cir Esp. 2008;83:309-12.
https://doi.org/10.1016/S0009-739X(08)70582-7
22. Spaventa A, Decanini C, Becerril G, González S, Menéndez A, Gaertner W, et al. Laparoscopic appendectomy. Present situation. ABC medical center experience during the last five years. Rev Gastroenterol Mex. 2006;71:31-8.
23. Manrique D, Aquino H, Garro E. Apendicectomía laparoscópica: modelo de programa ambulatorio. Rev Colomb Cir. 2008;23:74-84.
24. Garg CP , V aidya BB, Chengalath MM. Efficacy of laparoscopy in complicated appendicitis. Int J Surg. 2009;7:250-2.
https://doi.org/10.1016/j.ijsu.2009.04.007
25. Andersson R, Hugander A, Thulin A, Nystrom PO, Olaison G. Indications for operation in suspected appendicitis and incidence of perforation. BMJ. 1994;308:107-10.
https://doi.org/10.1136/bmj.308.6921.107
26. Prado E, García-Alcalá H, Domínguez-Cocco A, Justo-Janeiro JM. Comparative study of laparoscopic appendectomy Vs. open appendectomy. Rev Gastroenterol Mex. 1997;62:254-9.
27. Rivera EM.Comparative evaluation of the surgical treatment of acute appendicitis: Open appendicetomy versus laparoscopic appendicectomy in the National Hospital Carlos A. Seguín E. Rev Gastroenterol Perú. 2002;22:287-96.
28. Long KH, Bannon MP, Zietlow SP, Helgeson ER, Harmsen WS, Smith CD, et al. A prospective randomized comparison of laparoscopic appendectomy with open appendectomy: Clinical and economic analyses. Surgery. 2001;129:390-400.
https://doi.org/10.1016/S0039-6060(01)15621-7
29. Addiss D, Shaffer N, Fowler B, Tauxe R. The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol. 1990;132:910-25.
https://doi.org/10.1093/oxfordjournals.aje.a115734
30. Merhoff AM, Merhoff GC, Franklin ME. Laparoscopic versus open appendectomy. Am J Surg. 2000;179:375-8.
https://doi.org/10.1016/S0002-9610(00)00373-1
31. Katkhouda N, Mason RJ, Towfigh S, Gevorgyan A, Essani R. Laparoscopic versus open appendectomy: A prospective randomized double-blind study. Ann Surg. 2005;242:439-48.
https://doi.org/10.1097/01.sla.0000179648.75373.2f
32. Pedersen AG, Petersen OB, Wara P, Ronning H, Qvist N, Laurberg S. Randomized clinical trial of laparoscopic versus open appendicectomy. Br J Surg. 2001;88:200-5.
https://doi.org/10.1046/j.1365-2168.2001.01652.x
33. Iribarren C, Muñoz CE, Medina JP, Pirchi ED. Apendicec- tomías negativas: ¿aumenta su incidencia con la cirugía lapa- roscópica?. Rev Argent Cir. 2008;94:169-75.
34. Ortega AE, Hunter JG, Peters JH, Swanstrom LL, Schirmer B. A prospective, randomized comparison of laparoscopic appendec- tomy with open appendectomy. Am J Surg. 1995;169:208-12.
https://doi.org/10.1016/S0002-9610(99)80138-X
35. Minne L, Varner D, Burnell A, Ratzer E, Clark J, Haun W. Laparoscopic Vs. open appendectomy. Prospective randomized study of outcomes. Arch Surg. 1997;132:708-11.
https://doi.org/10.1001/archsurg.1997.01430310022003
36. Macarulla E, Vallet J, Abad JM, Hussein H, Fernández E, Nieto B. Laparoscopic versus open appendectomy: A prospective randomized trial. Surg Laparosc Endosc. 1997;7:335-9.
https://doi.org/10.1097/00019509-199708000-00016
37. Ozmen MM, Zulfikaroglu B, Tanik A, Kale IT. Laparoscopic versus open appendectomy: Prospective randomized trial. Surg Laparosc Endosc Percutan Tech. 1999;9:187-9.
https://doi.org/10.1097/00129689-199906000-00006
38. Reiertsen O, Larsen S, Trondsen E, Edwin B, Faerden AE, Rosseland AR. Randomized control trial with sequential design of laparoscopic versus conventional appendicectomy. Br J Surg. 1997;84:842-7.
https://doi.org/10.1002/bjs.1800840632
39. Hellberg A, Rudberg C, Kullman E, Enochsson L, Fenyö G, Graffner H, et al. Prospective randomized multicentre study of laparoscopic versus open appendicectomy. Br J Surg. 1999;86:48-53.
https://doi.org/10.1046/j.1365-2168.1999.00971.x
40. Heikkinen TJ, Haukipuro K, Hulkko A. Cost-effective appen- dectomy. Open or laparoscopic? A prospective randomized study. Surg Endosc. 1998;12:1204-8.
https://doi.org/10.1007/s004649900821
41. Klingler A, Henle KP, Beller S, Rechner J, Zerz A, Wetscher G, et al. Laparoscopic appendectomy does not change the in- cidence of postoperative infectious complications. Am J Surg. 1998;175:232-5.
https://doi.org/10.1016/S0002-9610(97)00286-9
42. Piskun G, Kozik D, Rajpal S, Shaftan G, Fogler R. Compa- rison of laparoscopic, open, and converted appendectomy for perforated appendicitis. Surg Endosc. 2001;15:660-2.
https://doi.org/10.1007/s004640020072
43. So JBY, Chiong EC, Chiong E, Cheah W-K, Lomanto D, Goh P, et al. Laparoscopic appendectomy for perforated appendicitis. World J Surg. 2002;26:1485-8.
https://doi.org/10.1007/s00268-002-6457-7
44. Margenthaler JA, Longo WE, Virgo KS, Johnson FE, Oprian CA, Henderson WG, et al. Risk factors for adverse outcomes after the surgical treatment of appendicitis in adults. Ann Surg. 2003;238:59-66.
https://doi.org/10.1097/01.SLA.0000074961.50020.f8
45. Morales CH. ¿Apendicectomia abierta o laparoscópica? Rev Colomb Cir. 2004;19:17-22.
46. Markar SR, Venkat-Raman V, Ho A, Karthikesalingam A, Kinross J, Evans J, et al. Laparoscopic versus open appendi- cectomy in obese patients. Int J Surg. 2011;9:451-5.
https://doi.org/10.1016/j.ijsu.2011.06.005
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Publicado
2012-04-01
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Mosquera, M.; Kadamani, A.; Pacheco, M.; Villarreal, R.; Ayala, J. C.; Fajardo, L. P.; Prieto, M.; García, Óscar; Contreras, H.; Sánchez, G. Apendicectomía laparoscópica Versus Abierta: Comparables... Rev Colomb Cir 2012, 27, 121-128.
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